Health system redesign for equity in maternal and newborn health must be codesigned country led adapted to context and fit for purpose

摘要

In this edition of BMJ Global Health, Roder-DeWan and colleagues suggest ways in which we might rethink care models to close the equity gap in maternal and newborn health.1 Their analysis article follows from the work of the Lancet Global Health Commission on High-Quality Health Systems, proposing design reforms with quality at the centre.2 The authors suggest that all childbirth care services should be moved to hospitals in all countries, combined with improvements in (1) the quality of care provided in these facilities; (2) transportation from home to hospital; and (3) continuity of care through hub-and-spoke arrangements.